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NPI Code Detail

MEDICARE: AUTUMN MORROW BSN

MEDICARE: AUTUMN MORROW BSN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WH0200XHome Health Registered NurseRN890531NV

General Provider Information

NPI Number : 1710868849
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUTUMN MORROW BSN
Provider Business Mailing Address
First Line : 3940 ALGONQUIN DR APT 221
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5310
Country : US
Telephone Number : 775-934-7462
Fax Number :
Provider Business Practice Location Address
First Line : 3753 HOWARD HUGHES PKWY STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-0952
Country : US
Telephone Number : 725-200-0906
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2025
Last Update Date : 09/08/2025

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